RecruitingNot ApplicableNCT07627438

Pelvic Floor Therapies for Lifelong Premature Ejaculation

Electromagnetic Pelvic Floor Stimulation Versus Biofeedback-Assisted and Conventional Pelvic Floor Muscle Training in Men With Lifelong Premature Ejaculation: A Randomized Controlled Trial

Sponsor

Tanta University

Enrollment

150 participants

Start Date

Apr 26, 2026

Study Type

INTERVENTIONAL

Conditions

Male Sexual Dysfunction Lifelong Premature Ejaculation Premature Ejaculation

Summary

This randomized controlled trial will compare three pelvic floor-based treatment modalities in men with lifelong premature ejaculation: electromagnetic pelvic floor stimulation, biofeedback-assisted pelvic floor muscle training, and conventional pelvic floor muscle training. A total of 150 men aged 18 to 50 years with lifelong premature ejaculation and stopwatch-measured intravaginal ejaculatory latency time of less than 1 minute will be randomly assigned to one of the three treatment groups. The primary outcome will be the change in intravaginal ejaculatory latency time from baseline to the end of treatment at 6 weeks. Secondary outcomes will include changes in Premature Ejaculation Diagnostic Tool score, International Index of Erectile Function-5 score, patient-reported ejaculatory control, sexual satisfaction, partner satisfaction, treatment adherence, and adverse events.

Eligibility

Sex: MALEMin Age: 18 YearsMax Age: 50 Years

Inclusion Criteria5

Men aged 18 to 50 years.
Diagnosis of lifelong premature ejaculation.
Intravaginal ejaculatory latency time less than 1 minute.
Ability and willingness to comply with the treatment protocol and follow-up visits.
Written informed consent.

Exclusion Criteria3

Erectile dysfunction.
Neurological disease.
Previous pelvic surgery.

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Interventions

DEVICEElectromagnetic Pelvic Floor Stimulation

Non-invasive electromagnetic pelvic floor stimulation will be applied to induce repeated pelvic floor muscle contractions. Treatment will be delivered over 6 weeks according to the institutional pelvic floor rehabilitation protocol.

BEHAVIORALBiofeedback-Assisted Pelvic Floor Muscle Training

Participants will receive supervised pelvic floor muscle training assisted by biofeedback over a 6-week treatment period to improve pelvic floor muscle awareness, contraction, relaxation, and coordination.

BEHAVIORALConventional Pelvic Floor Muscle Training

Participants will receive conventional pelvic floor muscle training aimed at improving pelvic floor muscle control and ejaculatory control. Treatment will be delivered over 6 weeks according to the institutional physiotherapy protocol.